MARSHALL ALBERT CANIZALEZ AU.D
NPI 1376205278
Audiologist in Gresham, OR

Q: What is Marshall Canizalez's NPI number?

The NPI number for Marshall Canizalez is 1376205278. It was assigned to this individual provider in the NPPES registry on October 7, 2021.

Q: What is Marshall Canizalez's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

Active since October 07, 2021Accepts Medicare Assignment

24076 SE STARK ST STE 230, GRESHAM, OR 97030(503) 488-2600(503) 465-5468 Get Directions Write a Review

NPPES record last updated: December 29, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 29, 2022, Oct 7, 2021 (2 updates tracked since 2021).

On this page

About Marshall Albert Canizalez Au.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARSHALL ALBERT CANIZALEZ AU.D (NPI 1376205278) is an individual audiologist in Gresham, Oregon, licensed in Oregon (31054) and active in the NPI registry since October 2021. He maintains a secondary practice location in Portland and is a graduate of Other (2021).

NPPES Registry Identity

NPI1376205278

Entity TypeIndividualMale

Primary Taxonomy231H00000X

Provider Legal NameMARSHALL ALBERT CANIZALEZCredential: AU.D

Location Address24076 SE STARK ST STE 230Gresham, OR 97030-3385

Mailing Address847 Ne 19th Ave Ste 300Portland, OR 97232-2686 · (503) 963-2801 · Fax (503) 963-2825

Phone(503) 488-2600

Fax(503) 465-5468

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateOctober 7, 2021

Last NPPES UpdateDecember 29, 20222 updates tracked since enumeration

NPPES CertifiedDecember 29, 2022

✔ NPI 1376205278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers

Taxonomy Code231H00000X

Licenses✔ Licensed in OR · 31054✔ Licensed in IL · 147001852

Definition

(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.

Also ListedAudiologist-Hearing Aid FitterTaxonomy 237600000X

24076 SE STARK ST STE 230, Gresham, OR 97030

Open in Google Maps ↗

Secondary Practice Location 1

Location 11111 NE 99th Ave Ste 101Portland, OR 97220-9442 · Phone (503) 488-2626 · Fax (503) 488-2630

Other Identifiers 1

Medicaid500813168OR

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marshall Albert Canizalez Au.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880064732

PECOS Enrollment IDI20230110002296, I20231115002141

Medicare Billing Reassignment

Medicare enrollment records show Marshall Canizalez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sapphire At Gresham Rehab, LLC

1.3 mi

Skilled Nursing Facility

405 NE 5TH ST
Gresham, OR 97030

Reassigned Medicare billing, Oregon and Washington enrollments
Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
Also billed through NPI 1871848457 (Washington)
3,207 clinicians in this Medicare group

NPI 1033740899 (503) 666-5600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$58.99 typical visit price

range $58.99 – $176.88

Typical copayment $14.74 (range $14.74 – $44.22)

Most-billed visit code 99202

Established Patient

$73.28 typical visit price

range $19.32 – $144.79

Typical copayment $18.32 (range $4.83 – $36.19)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SELIN CRONKRITE MPH, MSHS, PA-C

Physician Assistant